Posters

Introduction Inpatient falls remain a major healthcare challenge, with an average rate of 6.6 per 1,000 occupied bed-days in NHS England and Wales hospitals. Prevention of falls during hospital stay based on identifying and managing the modifiable risks are challenging. Multifactorial falls risk assessment and prevention action plan (MFRA FPAP) is a proforma booklet adopted by ABUHB. Methodology The initial QIP (2022–2024) revealed incomplete and poor-quality MFRA. Falls champions were introduced for a period of time, it showed an improvement, but was not sustained. Due to a rise in in-patient

Background and Objectives: Knowledge of social history and functional baseline is of paramount importance in Geriatric Medicine. Often a lack of adequate history leads to poor treatment outcomes in patients with advanced frailty. At our hospital, we have tried to identify the possible areas of improvement in collateral history documentation and designed a short and objective proforma that allows any doctor to take a detailed collateral history for geriatric patients. Methods: Data was collected retrospectively from notes of 30 patients in the Geriatric Medicine wards. This data was compared

Introduction Sarcopenia, a progressive and generalised skeletal muscle disorder involving the accelerated loss of muscle mass and function, is a significant geriatric syndrome associated with numerous adverse health outcomes, including increased falls, frailty, disability, hospitalisations, and mortality. Despite its high prevalence, particularly in older adults, sarcopenia often remains under diagnosed in routine clinical practice, especially in outpatient settings where early detection and intervention are crucial for preventing progression and improving patient quality of life. Method 1

Background: There has been success in implementing frailty education for healthcare professionals, but there remains a need to improve the knowledge and skills of researchers and healthcare professionals to develop, implement and evaluate frailty-focused research. This paper describes how the Australian Frailty Network developed and evaluated a virtual community of practice (VCOP), a proven model for fostering knowledge mobilisation, to support researchers and healthcare professionals in advancing frailty research and practice in Australia. Methods: A survey of prospective members sought to

Background: Legionnaires’ disease, a form of atypical pneumonia caused by Legionella pneumophila, can present without respiratory symptoms, particularly in elderly patients with multiple comorbidities. While commonly associated with contaminated water sources and travel-related exposure, community-acquired cases without typical respiratory symptoms can be easily overlooked. Early recognition and targeted therapy are crucial to reduce morbidity and mortality. Case Presentation:A 78-year-old male, ex-smoker, with known COPD, Chronic kidney Disease, non-alcoholic fatty liver disease and

Background: At Epsom and St. Helier, patients are referred to the SDEC (Same Day Emergency Care) Pathway for the organisation of an Ultrasound Doppler of their lower limbs based on their presentation to Accident and Emergency with lower limb swelling, pain, and an elevated D-Dimer. This has resulted in inundation of a dedicated ultrasound service, with wait times for scan up to 10 days. Aim: To review the DVT Pathway of outpatient referrals to the Medical Assessment Unit (SDEC) at St. Helier Hospital, To audit the outcome of DVT referrals to the SDEC department from Accident and Emergency, and

Introduction: Falls are common in people living in care homes (CHs). London Ambulance Service (LAS) data indicated four out of the ten London CHs with the highest conveyance to hospital were in Lambeth and Southwark. Secondary care and community services were unable to provide prompt consultation and address educational needs of staff required to prevent and manage CH falls. Method: The Lambeth and Southwark CH Falls Prevention group was established in 2022 by local care partnerships to explore ways to improve the approach to falls. Following an audit of falls-related service gaps, a Care Home

Abstract Content: Introduction: Emerging and increasing frailty often goes unidentified, and families living with dementia and frailty are missing vital opportunities to receive the right support at the right time. People living with frailty are less able to adapt to stress factors such as acute illness, injury, or changes in their environment, personal or social circumstances, leading to adverse health outcomes and an earlier loss of independence. Method: We have developed a unique and innovative National frailty Consultant Admiral Nurse service to address this concern. This service was

Abstract Content: Introduction: Emerging and increasing frailty often goes unidentified, and families living with dementia and frailty are missing vital opportunities to receive the right support at the right time. People living with frailty are less able to adapt to stress factors such as acute illness, injury, or changes in their environment, personal or social circumstances, leading to adverse health outcomes and an earlier loss of independence. Method: We have developed a unique and innovative National frailty Consultant Admiral Nurse service to address this concern. This service was

Abstract Content : Introduction: Emerging and increasing frailty often goes unidentified, and families living with dementia and frailty are missing vital opportunities to receive the right support at the right time. People living with frailty are less able to adapt to stress factors such as acute illness, injury, or changes in their environment, personal or social circumstances, leading to adverse health outcomes and an earlier loss of independence. Method: We have developed a unique and innovative National frailty Consultant Admiral Nurse service to address this concern. This service was

Introduction: The global prevalence of Parkinson's disease, a common neurodegenerative disorder, is rising. Most people with Parkinson's live in low- and middle-income countries, where accessing healthcare is challenging. A growing body of literature has investigated the distribution and experience of Parkinson's disease in Tanzania, yet there remains a need to understand access to healthcare for the condition in this setting. This study aims to qualitatively explore the experience of accessing healthcare for Parkinson's disease in northern Tanzania's Kilimanjaro region. Method: Twenty-seven

Introduction: The older population are more likely to suffer from chronic diseases, requiring more frequent hospital admissions, therefore, in University Hospital of Wales there is a dedicated Older Persons Acute Medical Unit (OPAMU). The OPAMU, opened in 2023, admits frail patients directly from the Emergency (ED) and Acute Medicine (AM) Departments for comprehensive geriatric assessment before discharge or onward hospital stay. Main objective: To understand how our patients felt throughout different steps of their journey to the OPAMU. Secondary objective: To assess how the patient

INTRODUCTION In the recent falls guidelines, multidomain interventions are recommended for people with Parkinson’s disease (PwPD)[1]. Walking aids improve local balance and stability, increase confidence and reduce mechanical effort associated with walking[2], however walking aid use is associated with recurrent falls in PD[3]. This study aimed to understand pre-fall activity and environmental fall risk in fallers and the differences associated with walking aid use. METHODS An online survey was developed to evaluate retrospective falls in adults ≥60y. 117 PwPD responded to the survey. The

Background Shared decision making (SDM) is supported by NICE, the Royal College of Surgeons, General Medical Council and protected through legislation. Evidence continues to be produced to support the use and implementation of SDM prior to elective surgery, however, little work appears to have been done in the emergency surgical setting. Decision making prior to emergency surgery can be complex, especially for older patients with increasing frailty whose risks from surgical intervention are higher than the general population. SDM in this context therefore has substantial importance. This is a

Background: Guillain-Barré Syndrome (GBS) is an acute immune-mediated polyradiculoneuropathy. Hyponatremia, often caused by Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH), is a recognized but underappreciated complication of GBS. SIADH typically arises after neurological symptoms; however, rare cases may present with hyponatremia preceding neuromuscular features, complicating early diagnosis and management. Case Presentation: A previously well man in his 50s presented with acute confusion and drowsiness. Initial investigations revealed profound hyponatremia (serum sodium 110

Introduction: The use of intravenous (IV) cannulas is a common clinical practice; however, their prolonged or unnecessary use can increase the risk of complications such as thrombophlebitis, infection, and patient discomfort. This quality improvement project, was undertaken to evaluate current practices within the clinical setting and to identify areas for improvement. Methods: Data was collected over the period of 2 weeks in March 2025 and it was collected every Monday, Wednesday and Friday. The inclusion criteria was patients admitted to the Stroke Unit at New Cross Hospital and the

Introduction Increasing numbers of older people are undergoing major arterial surgery and major lower limb amputations for peripheral vascular disease (PVD). Osteoporosis and PVD share several common risk factors. In 2024, the National Osteoporosis Guideline Group (NOGG) updated their recommendations to include lower limb amputation as an additional clinical risk factor that should prompt proactive bone health assessment in this group. Perioperative Comprehensive Geriatric Assessment (CGA) provides a context where this can occur. Method Data were collected prospectively as part of a service

Introduction Advance care planning (ACP) is a patient-centred discussion involving the patient, family, and healthcare professional to ensure future care aligns with patient wishes. In Wales, this includes two recognised documents for those with capacity, and a best interests form for those without, completed by a Lasting Power of Attorney or IMCA. ACPs in the elderly population have been shown to enhance quality of life, communication, and reduce unwanted hospital admissions. This project aimed to improve ACP completion in primary care. Method Forty-one residents, who were registered to Roath

Introduction: The assessment of impaired vision is included in falls prevention guidance for older adults but implementation is variable. We conducted a scoping review to better understand current practice and inform future implementation research around vision assessments for older adults attending acute hospitals following a fall. Methods: JBI methodology was followed. MEDLINE, AMED, EMBASE, PsychInfo, CINAHL and WebofScience were systematically searched for literature on the assessment of vision in older adults attending acute hospitals following a fall. Sources eligible for inclusion had a

Introduction Despite the UK’s increasing life expectancy, and increase in the elderly population, there is an overwhelming lack of Geriatricians in the UK; as of 2022, there is only 1 consultant Geriatrician per 8,031 individuals over the age of 65 (BGS, 2023). To meet the complex care needs of this population, there must be a focus on increasing the interest that doctors have towards Geriatric Medicine, with the overall aim being to recruit more doctors into the speciality. Method The aim of this review was to investigate what factors medical students perceive as barriers to pursuing a career